Genital and pelvic reconstruction aims to restore normal anatomy and function of the genitourinary tract. The function or appearance of these areas can sometimes be affected by certain treatments or diseases, such as cancer. 

Reconstructive Urology: Why Choose Johns Hopkins 

• Our urologic surgeons are leaders in the field of reconstructive surgery, contributing to some of the most exciting advances of the past 20 years — including the world’s first total penis and scrotum transplant in 2018. 
• We recognize that restoring normal bodily function is just as important as treating the disease itself. 
• The unique nature of reconstructive surgery requires nuance and finesse. We take a personalized approach to every step of your evaluation and treatment, carefully considering how every decision will impact your current and future quality of life. 

Types of Reconstructive Urology Procedures 

We offer a wide range of reconstructive procedures for men and women: 

• Bladder reconstruction – Required for management of injuries or cancers of the pelvic region, and often combined with major cancer operations of the pelvis. 
• Genital reconstruction – Surgical reconstruction of the penis and scrotum is often necessary to manage genital trauma, genital cancers, congenital deformities and Peyronie’s disease. 
• Neurogenic bladder treatment – When bladder dysfunction is caused by nerve damage, robotic-assisted bladder augmentation may be an option for some patients. 
• Penile prosthetics – Implants and other procedures restore appearance and function for men with erectile dysfunction or urinary incontinence. 
• Ureter reconstruction – We provide minimally invasive approaches and complex bladder reconfiguration to repair obstructions of the ureter, including those caused by injury or ureteral stricture. 
• Ureteropelvic junction (UPJ) obstruction repair – Whenever possible, we recommend robotic pyeloplasty, a minimally invasive technique to clear a blockage in the area where the ureter and kidney meet. 
• Urethral reconstruction – Urethral reconstruction is offered for conditions such as urethral stricture disease, urethral injuries/trauma, urinary incontinence, urethral obstruction, and rectourethral fistulas associated with trauma, surgery or radiation. 
• Urogynecologic reconstruction – For pelvic floor relaxation, urethral diverticula, urethral injuries in female patients, urinary incontinence and vesicovaginal fistulas caused by prior trauma, surgery or radiation.